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Cardholder Agreement for Authorized Use of Purchase Card
from Procurement Policy
by BuffaloGrove
1.) I, _____________________________________, have read and do understand the Village’s Procurement Card Policy.
2) I further agree to abide by the terms and conditions in that policy and understand that this card is subject to revocation if I fail to act in accordance with the policy.
3) I agree that if I engage in fraudulent activity or violate the terms and conditions of the Village’s Procurement Card Policy, as amended from time to time, I will fully reimburse the Village for all such transactions
4) I understand that that if I engage in fraudulent activity or violate the terms and conditions of the Village’s Procurement Card Policy , as amended from time to time, I will be subject to disciplinary action that may include termination.
5) Upon my termination or resignation as an employee with the Village, I agree to return the purchase card to the Finance Department and will not attempt to use the card after my employment is completed.
Printed name: __________________________________
Signature: _____________________________________
Date: _______________________
